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Publications (5)17.96 Total impact

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    ABSTRACT: The epidemiology of infections was studied in a retrospective cohort of 446 recipients of bone marrow transplants (BMTs; 92 of which were allogeneic and 354 of which were autologous) during 1993--1996. Infections that were microbiologically documented in 274 recipients included bacteremia, urinary tract infections, cytomegalovirus viremia, fungemia, invasive aspergillosis, and catheter-related infections. During the period of neutropenia, no differences were found between recipients of allogeneic BMTs and recipients of autologous BMTs with regard to the incidence and the nature of infection. After patients underwent engraftment, bacteremia, cytomegalovirus viremia, and invasive aspergillosis were significantly more common in recipients of allogeneic BMTs than in recipients of autologous BMTs. Deaths caused by infection were uncommon and were mainly the result of invasive aspergillosis. Therefore, empirical antimicrobial therapy should be the same for recipients of both allogeneic and autologous BMTs during the period of neutropenia; after engraftment, more attention should be paid to the risk of infection in allogeneic BMT recipients, particularly with regard to detection and prevention of invasive aspergillosis.
    Clinical Infectious Diseases 08/2001; 33(1):41-7. DOI:10.1086/320871 · 9.42 Impact Factor
  • H Richet · B Andre-Richet · F L Gallou
    Annales de Dermatologie et de Vénéréologie 05/2001; 128 Supp 1:S15-7; discussion S31-2. · 0.67 Impact Factor
  • H Richet · M Wiesel · F Le Gallou · B André-Richet · E Espaze
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    ABSTRACT: The first cases of isolation of Staphylococcus aureus resistant to methicillin in France were published in 1962. However, until recently, very few epidemiological studies or attempts to control the epidemic have been done in France. In this article, we present the results of a prospective study performed during a 3-month period in 27 hospitals of the Région des Pays de la Loire. Among the 94,605 hospitalized patients included in the study, 0.45% (427) developed methicillin-resistant Staphylococcus aureus (MRSA) infections, the incidence rate ranging from 0% to 1.2%. Thirty-four percent of MRSA-infected patients were 80 years old or older, 30% had been transferred from another service and 19% from another hospital, 56% were hospitalized at least once during the previous year, MRSA had been isolated at least once previously in 18% of MRSA-infected patients, 19% died, 16% were transferred to another service and 11% to another hospital, and only 32% were discharged to their homes. A poor compliance to contact isolation precautions was observed in all hospitals: 46% of MRSA-infected patients were hospitalized in a private room; gloves, masks, and gowns were worn for the care of 63.4%, 14%, and 42.5% of MRSA-infected patients, respectively; and handwashing was feasible in the rooms of 52% of the patients.
    Infection Control and Hospital Epidemiology 09/1996; 17(8):509-11. · 3.94 Impact Factor
  • Hervé Richet · Michel Wiesel · Florence Le Gallou · Béatrice André-Richet · Eric Espaze
    Infection Control and Hospital Epidemiology 08/1996; 17(8):509-511. DOI:10.1086/647353 · 3.94 Impact Factor
  • Beatrice. Andre-Richet
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    ABSTRACT: Thesis (M.P.H.)--Emory University. Report submitted to the Division of Public Health thesis committee, Emory University in partial fulfillment of the degree of Master of Public Health. Includes bibliographical references (leaves 25-27).